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Licensing details for: 12906

Name: LEVARDO DENTAL DENTAL OFFICE OF DR. ELPI MINETTE LEVARDO

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Address of Record

899 E GRAND AVENUE, SUITE A
ESCONDIDO CA 92025
SAN DIEGO county
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Practice Location

899 E GRAND AVENUE, SUITE A
ESCONDIDO CA 92025-3442
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Issuance Date

June 6, 2016

Expiration Date

September 30, 2026

Current Date / Time

June 6, 2025
9:52:50 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: LEVARDO, ELPI MINETTE C

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: LEVARDO, ELPI MINETTE C

License/Registration Type: Dentist License

License Number: 49777 Primary Status: Current - Active

Address :
899 E GRAND AVE
STE A
ESCONDIDO CA 92025
SAN DIEGO COUNTY

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